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Blog
Health Care
Maintaining Momentum on Medicaid Redesign
March 27, 2020
To ensure a sustainable Medicaid program that can help New Yorkers most in need in the future, the Executive and Legislature should continue the course correction started by the MRT, especially as they enact a budget during these troubled times.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Blog
Pensions & Benefits
Governor Cuomo Should Veto 19 Benefit Sweetener Bills
2019 Benefit Sweetener Scorecard Update
July 12, 2019
The bills would enhance benefits without providing enhanced services to taxpayers or offsetting savings.
Blog
Pensions & Benefits
2019 Benefit Sweetener Scorecard
New York State Bill Tracker
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
Blog
Pensions & Benefits
NYC Long-term Liabilities Top $257 Billion
October 31, 2018
The City's liabilities reached a record $257.3 billion, an increase of $4.7 billion since fiscal year 2017.
Blog
Pensions & Benefits
Bitter Truth
Many Benefit Sweeteners Lack Required Fiscal Estimates
June 06, 2018
To date the New York State Legislature has introduced 138 bills in this session that enhance the benefits of state and local public employees. How much these bills could cost taxpayers is unknown.
Blog
Pensions & Benefits
Four Egregious Benefit Enhancement Bills
2018 Benefit Sweetener Scorecard Update
May 18, 2018
The 135 active bills identified on the Citizens Budget Commission’s 2018 Benefit Sweetener Scorecard this session could cost the State and local governments at least $428 million.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Blog
Health Care
Three Strikes Against the Governor’s Proposed Conversion Revenue
March 13, 2018
Counting on the revenue from health insurance company conversations is not prudent for three important reasons.
Blog
Pensions & Benefits
A Budget Proposal That Seems Fiscally Responsible, But Doesn’t Tackle the True Problem
February 22, 2018
It's time to eliminate the expensive and risky benefits provided by the TDA.
Blog
Health Care
Time to Rethink HCRA Taxes
April 18, 2017
Taxes initially earmarked for health care programs are now being transferred to the State's General Fund and used for other purposes. The Legislature should replace them in future budgets.
Blog
State Budget
Budget Proposals with a Big Long-Term Payoff
March 16, 2017
The NYS FY2018 Executive Budget includes three proposals to reduce the State’s cost of providing retiree health insurance. Budget savings would be modest, but the reduction in the OPEB liability would be significant.
Blog
City Budget
The “20-20-20-20” Dilemma: Legacy Costs in the New York City Budget
July 22, 2016
A giant slice of the New York City budget pays for costs that are the legacy of commitments made in the past: debt service, pensions, and retiree health insurance. These legacy costs already exceed 20 percent of the budget and will expand by 20 percent to more than $20 billion in annual spending by fiscal year 2020.
Blog
Pensions & Benefits
Legislature Introduces Even More Benefit Sweeteners
May 18, 2016
The State Legislature has introduced 8 new bills to enhance the benefits of State and local public employees and retirees in the 2016 session.
Blog
Pensions & Benefits
2016 Benefit Sweetener Scorecard
May 02, 2016
The Citizens Budget Commission’s 2016 Benefit Sweetener Scorecard identifies more than 60 such bills active this session. These bills could cost the State and local governments hundreds of millions of dollars per year, and since about half the bills do not specify a fiscal impact, the potential costs could be significantly greater.
Blog
State Budget
A Step Backward on Medicaid Funding
March 24, 2016
New York’s policy of requiring counties and New York City to pay a sizable share of Medicaid costs is out of step with other states and results in an inequitable distribution of Medicaid costs among New York taxpayers. In 2005 the State capped the growth in the local share of Medicaid, which was a step in the right direction. In 2012 the State began a phased takeover of local share growth—a further improvement. However, the 2017 Executive Budget proposes to reinstitute New York City’s contribution toward growth in Medicaid expenses, which would be a giant step backwards.
Blog
State Budget
Pass Governor’s Proposal to Reform State Retiree Health Insurance Benefits
March 13, 2016
State of New York retirees with more than 10 years of service receive health insurance benefits substantially more generous than those offered by private sector and most public sector employers. Governor Andrew Cuomo’s Executive Budget for FY2017 includes a fair proposal to reduce these growing costs, and the Legislature should adopt it.
Blog
Education
Fringe Benefits Pushed New York Education Spending Higher in 2013
June 22, 2015
High levels of school spending in NY largely reflected the relatively high cost of employee compensation.
Blog
Pensions & Benefits
Big Decisions Before Albany Do Not Deter Sweeteners
June 09, 2015
Tracking bills enhancing benefits for public employees introduced in the 2015 Legislative Session